January 2023 Medical Image of the Month: Abnormal Sleep Study and PFT with Supine Challenge Related to Idiopathic Hemidiaphragmatic Paralysis

No abstract available. Article truncated after 150 words. A 71-year-old man presented to our pulmonary clinic with a complaint of worsening dyspnea, which seems be positional in nature. Symptoms were exacerbated by bending over or laying down too quickly. The patient was known practice, having had kidney transplant 17 years ago, left upper lobectomy for squamous cell carcinoma 6 ago (no recurrence), and has been on fluconazole 4 due disseminated coccidioidomycosis (cocci) cavitary involvement. recurrent DVTs 2 is Eliquis. On top that, the COVID 1 year but recovered. An outside sleep study remarkable overnight hypoxia. Outside function testing (PFTs) demonstrated combined restrictive obstructive picture. chest CT failed demonstrate any findings that would suggest COVID-related changes progression cocci as potential cause. V/Q scan …